How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $660.69 | Professional | None | $478.63 | $478.63 | $660.69 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,570.88 Median $20,417.38 Typical High $46,773.51 | Facility | None | $4,570.88 | $20,417.38 | $46,773.51 |
BCBS Minnesota Setting Professional Modifier None Typical Low $512.86 Median $645.65 Typical High $776.25 | Professional | None | $512.86 | $645.65 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $2,089.30 Median $3,235.94 Typical High $6,165.95 | Facility | None | $2,089.30 | $3,235.94 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $2,951.21 Typical High $5,128.61 | Professional | None | $1,862.09 | $2,951.21 | $5,128.61 |
Health Partners Setting Facility Modifier None Typical Low $1,862.09 Median $2,951.21 Typical High $5,128.61 | Facility | None | $1,862.09 | $2,951.21 | $5,128.61 |
Health Partners Setting Professional Modifier None Typical Low $2,089.30 Median $2,754.23 Typical High $4,570.88 | Professional | None | $2,089.30 | $2,754.23 | $4,570.88 |
Medica Setting Facility Modifier None Typical Low $1,737.80 Median $5,011.87 Typical High $12,589.25 | Facility | None | $1,737.80 | $5,011.87 | $12,589.25 |
Medica Setting Professional Modifier None Typical Low $467.74 Median $1,659.59 Typical High $4,786.30 | Professional | None | $467.74 | $1,659.59 | $4,786.30 |
United Setting Facility Modifier None Typical Low $3,981.07 Median $5,623.41 Typical High $13,803.84 | Facility | None | $3,981.07 | $5,623.41 | $13,803.84 |
United Setting Professional Modifier None Typical Low $457.09 Median $1,288.25 Typical High $3,090.30 | Professional | None | $457.09 | $1,288.25 | $3,090.30 |
5 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | 54 · Surgery only | $363.08 | $363.08 | $363.08 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | 78 · Unplanned return to OR | $338.84 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $363.08 Typical High $489.78 | Professional | 54 · Surgery only | $363.08 | $363.08 | $489.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $338.84 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $338.84 | $338.84 | $457.09 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $323.59 Median $398.11 Typical High $478.63 | Professional | 62 · Two surgeons | $323.59 | $398.11 | $478.63 |
Where Minnesota sits
The same service costs 8.3 times more in South Dakota than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Minnesota· 7th of 51
$1,738
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.